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By Jeremiah J. Underhill, Legal Director BASICS OF THE ABLE ACT

BASICS OF THE ABLE ACT Pharmacy/DUR/Documents... · ABLE Accounts The ABLE Act is a federal law. (December 19, 2014) The Stephen Beck, Jr. Achieving a Better Life Experience (ABLE)

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Page 1: BASICS OF THE ABLE ACT Pharmacy/DUR/Documents... · ABLE Accounts The ABLE Act is a federal law. (December 19, 2014) The Stephen Beck, Jr. Achieving a Better Life Experience (ABLE)

By Jeremiah J. Underhill, Legal Director

BASICS OF THE ABLE ACT

Page 2: BASICS OF THE ABLE ACT Pharmacy/DUR/Documents... · ABLE Accounts The ABLE Act is a federal law. (December 19, 2014) The Stephen Beck, Jr. Achieving a Better Life Experience (ABLE)

Agenda for today’s presentation

Background information on federal benefits

Eligibility requirements for ABLE accounts

Impact on Federal benefits

Setting up an account.

Page 3: BASICS OF THE ABLE ACT Pharmacy/DUR/Documents... · ABLE Accounts The ABLE Act is a federal law. (December 19, 2014) The Stephen Beck, Jr. Achieving a Better Life Experience (ABLE)

Federal Disability Benefits

Social Security Disability Benefits (SSDI)

- entitlement program (someone worked and paid in Social Security trust fund)

- There are no limits to how much money you can have in the bank.

- Person receiving SSDI cannot earn more than $1,170 per month by working, a person collecting SSDI can have any amount of income from investments, interest, or a spouse's income.

Supplemental Security Income (SSI)

- pays a monthly cash benefit to a child or adults who has a disability and limited means to support themselves.

Page 4: BASICS OF THE ABLE ACT Pharmacy/DUR/Documents... · ABLE Accounts The ABLE Act is a federal law. (December 19, 2014) The Stephen Beck, Jr. Achieving a Better Life Experience (ABLE)

ABLE Accounts

The ABLE Act is a federal law. (December 19, 2014)

The Stephen Beck, Jr. Achieving a Better Life Experience (ABLE) Act.

The ABLE Act creates a new savings tool for certain people with

disabilities. To provides an option to save for the future, while protecting eligibility for public benefits.

Page 5: BASICS OF THE ABLE ACT Pharmacy/DUR/Documents... · ABLE Accounts The ABLE Act is a federal law. (December 19, 2014) The Stephen Beck, Jr. Achieving a Better Life Experience (ABLE)

What is an ABLE account?

ABLE Accounts:

Established in the new section 529A Qualified ABLE Programs

Are qualified savings accounts that receive preferred federal tax treatment (529A account).

Enable eligible individuals to save for disability-related expenses.

There are currently 28 ABLE programs enrolling qualified individuals.

-The ABLE program in West Virginia is currently a work in progress. (Signed into law - program in development) But in every state that has an ABLE program, except for Florida and Kentucky, you don’t have to be a resident to have an account setup.

Page 6: BASICS OF THE ABLE ACT Pharmacy/DUR/Documents... · ABLE Accounts The ABLE Act is a federal law. (December 19, 2014) The Stephen Beck, Jr. Achieving a Better Life Experience (ABLE)

The benefits to setting up an ABLE

account.

The assets in an ABLE will not adversely affect your eligibility for most

federal means-tested benefits. (such as SSI, SSDI, Medicaid…)

The money in the account will be disregarded or given special treatment

in determining eligibility for federal programs.

When an individual takes a distribution for a “qualified disability expense”

that distribution will be disregarded or given special treatment in

determining eligibility for most federal means-tested benefits.

Page 7: BASICS OF THE ABLE ACT Pharmacy/DUR/Documents... · ABLE Accounts The ABLE Act is a federal law. (December 19, 2014) The Stephen Beck, Jr. Achieving a Better Life Experience (ABLE)

Basic ABLE account rules.

Each eligible person may have only 1 ABLE account.

Designated beneficiary is the eligible individual who established the

account and is the account owner.

The account owner (designated beneficiary) is the person with the

disability. This is a significant difference from a college savings plan

account.

There is no longer a federal residency requirement related to establishing

an ABLE account unless otherwise established by a given program. (Only

Florida and Kentucky have a residency requirement)

Page 8: BASICS OF THE ABLE ACT Pharmacy/DUR/Documents... · ABLE Accounts The ABLE Act is a federal law. (December 19, 2014) The Stephen Beck, Jr. Achieving a Better Life Experience (ABLE)

Can someone other than an eligible

individual setup an ABLE account?

Yes another person may be allowed signature authority over the account if the eligible individual is unable to establish the ABLE account on their own behalf.

The person MUST be one of these.

1) parent

2) guardian

3) person with power of attorney

A person other than the designated beneficiary with signature authority over the account may not have or acquire any beneficial interest in the account and must administer the account for the benefit of the designated beneficiary of the account.

Page 9: BASICS OF THE ABLE ACT Pharmacy/DUR/Documents... · ABLE Accounts The ABLE Act is a federal law. (December 19, 2014) The Stephen Beck, Jr. Achieving a Better Life Experience (ABLE)

ABLE Account Features

Rollovers and program-to-program transfers are allowed to a family

member (sibling, half-sibling, step-sibling) who is an eligible individual.

The ABLE account can retain its protected status if the person is no longer

disabled and can be reinstated for use if the individual becomes disabled

again.

Page 10: BASICS OF THE ABLE ACT Pharmacy/DUR/Documents... · ABLE Accounts The ABLE Act is a federal law. (December 19, 2014) The Stephen Beck, Jr. Achieving a Better Life Experience (ABLE)

Important contribution requirements for ABLE accounts

Total annual contributions may not exceed the federal gift tax

contribution, which is currently $14,000. This may be periodically adjusted

for inflation.

Total lifetime contributions may not exceed the state limit for a 529A

savings accounts, typically set at over $250,000.

Page 11: BASICS OF THE ABLE ACT Pharmacy/DUR/Documents... · ABLE Accounts The ABLE Act is a federal law. (December 19, 2014) The Stephen Beck, Jr. Achieving a Better Life Experience (ABLE)

Who can contribute to an ABLE account?

ANYONE, including the beneficiary, their family, friends and others, may

make contributions to an ABLE account.

Multiple individuals may make contributions to an ABLE account so long

as the annual and lifetime caps are not exceeded.

These caps apply collectively not individually.

Page 12: BASICS OF THE ABLE ACT Pharmacy/DUR/Documents... · ABLE Accounts The ABLE Act is a federal law. (December 19, 2014) The Stephen Beck, Jr. Achieving a Better Life Experience (ABLE)

Who is eligible for ABLE accounts?

To be eligible, individuals must meet two requirements:

Age requirement: must have had an onset of disability prior to their 26th

birthday

Severity of disability:

Have been determined to meet the disability requirements for

Supplemental Security Income (SSI) or Social Security Disability Insurance

(SSDI)

OR

Submit a disability certification, including a physician’s diagnosis, that the individual meets certain criteria.

Page 13: BASICS OF THE ABLE ACT Pharmacy/DUR/Documents... · ABLE Accounts The ABLE Act is a federal law. (December 19, 2014) The Stephen Beck, Jr. Achieving a Better Life Experience (ABLE)

What is a Disability Certificate?

A document that says:

1.The individual:

A. Has a medically determinable physical or mental impairment that results in marked and severe functional limitations and that—

1.Can be expected to result in death; or

2.Has lasted or can be expected to last for a continuous period of not less than 12 months; or

B. Is blind within the meaning of the SSI program

2.The blindness or disability occurred before the age of 26

3.The individual will be expected to declare that s/he has a signed physician’s diagnosis and that s/he will retain that diagnosis and provide it to the IRS upon request.

Page 14: BASICS OF THE ABLE ACT Pharmacy/DUR/Documents... · ABLE Accounts The ABLE Act is a federal law. (December 19, 2014) The Stephen Beck, Jr. Achieving a Better Life Experience (ABLE)

Disability Certificate

This document is signed under penalties of perjury by the person with the

disability, the person establishing the account, or the person with signature

authority.

Marked and severe functional limitations” - a level of severity of disability

that meets, medically equals, or functionally equals the severity of any

listing in SSA’s listing of impairments.

Why? Requiring the certificate means that eligible individuals with

disabilities will not need to submit extensive medical information when

opening an ABLE account, and ABLE programs will not need to receive,

retain, or evaluate detailed medical records.

Page 15: BASICS OF THE ABLE ACT Pharmacy/DUR/Documents... · ABLE Accounts The ABLE Act is a federal law. (December 19, 2014) The Stephen Beck, Jr. Achieving a Better Life Experience (ABLE)

How can funds from an ABLE account be used?

Distributions from an ABLE account may be made for qualified disability expenses.

Qualified disability expenses are expenses that relate to the designated beneficiary’s blindness or disability and are for the benefit of that designated beneficiary in maintaining or improving his or her health, independence or quality of life.

The term qualified disability expenses should be broadly understood to permit the inclusion of basic living expenses and should not be limited to:

expenses for items for which there is a medical necessity, or

which provide no benefits to others in addition to the benefit to the eligible individual.

The primary purpose of the expense must be to benefit the account holder.

Page 16: BASICS OF THE ABLE ACT Pharmacy/DUR/Documents... · ABLE Accounts The ABLE Act is a federal law. (December 19, 2014) The Stephen Beck, Jr. Achieving a Better Life Experience (ABLE)

Examples of qualified disability expenses may include the following:

Education

Housing

Transportation

Employment training and support

Assistive technology and personal support services

Health, prevention and wellness

Financial management and administrative services

Legal fees

Page 17: BASICS OF THE ABLE ACT Pharmacy/DUR/Documents... · ABLE Accounts The ABLE Act is a federal law. (December 19, 2014) The Stephen Beck, Jr. Achieving a Better Life Experience (ABLE)

Examples of qualified expenses

continued

Expenses for oversight and monitoring

Basic Living Expenses

Funeral and burial expenses

Any other expenses approved by the Secretary of the Treasury under

regulations consistent with the purpose of the program

Distributions for non-qualified expenditures will be subject to tax

consequences and may affect eligibility for federal means tested

benefits.

Page 18: BASICS OF THE ABLE ACT Pharmacy/DUR/Documents... · ABLE Accounts The ABLE Act is a federal law. (December 19, 2014) The Stephen Beck, Jr. Achieving a Better Life Experience (ABLE)

How do ABLE account assets impact

eligibility for federal benefits?

ABLE assets will be disregarded or receive favorable treatment when

determining eligibility for most federal means-tested benefits.

ONE EXCEPTION -SSI

Page 19: BASICS OF THE ABLE ACT Pharmacy/DUR/Documents... · ABLE Accounts The ABLE Act is a federal law. (December 19, 2014) The Stephen Beck, Jr. Achieving a Better Life Experience (ABLE)

Your ABLE Account can affect your SSI eligibility?

Supplemental Security Income (SSI):

Only the first $100,000 in ABLE account will be disregarded.

SSI payments (monthly cash benefit) will be suspended if the beneficiary’s account balance exceeds $100,000, but SSI benefits (eligibility) will not be terminated. Funds above $100,000 will be treated as resources.

Housing expenses receive the same treatment as all housing costs paid by outside sources. However, new Social Security instructions will treat housing expenses as resources only if distributed in one month and held until the following month. If you don’t want a distribution for a housing expense to affect SSI you need to use the funds in the same month as they are distributed.

Page 20: BASICS OF THE ABLE ACT Pharmacy/DUR/Documents... · ABLE Accounts The ABLE Act is a federal law. (December 19, 2014) The Stephen Beck, Jr. Achieving a Better Life Experience (ABLE)

How do ABLE account assets impact eligibility for Medicaid?

Medicaid:

ABLE assets are disregarded in determining Medicaid eligibility.

If you receive SSI, Medicaid benefits are not suspended if the ABLE account balance does exceed $100,000

Medicaid Payback Provision:

If there are assets in the ABLE account when a beneficiary dies, the assets can be used to reimburse a state for Medicaid payments made on behalf of the beneficiary after the creation of the ABLE account.

The state has to file a claim for those funds.

In this instance, the state is considered a creditor, not a beneficiary, of the ABLE account.

Page 21: BASICS OF THE ABLE ACT Pharmacy/DUR/Documents... · ABLE Accounts The ABLE Act is a federal law. (December 19, 2014) The Stephen Beck, Jr. Achieving a Better Life Experience (ABLE)

Setting up an ABLE account

Enrollment is completely online.

Visit www.ablenrc.org

Use the comparison tool to find the program which meets your needs:

http://www.ablenrc.org/state_compare

Compare items such as: program requirements (residency), costs, tax

deductions and credits, minimum contribution, fees or restrictions, debit

card/purchasing card option.

Find the State Program Administrator to enroll: http://www.ablenrc.org/state-

review

Page 22: BASICS OF THE ABLE ACT Pharmacy/DUR/Documents... · ABLE Accounts The ABLE Act is a federal law. (December 19, 2014) The Stephen Beck, Jr. Achieving a Better Life Experience (ABLE)

Areas of Concern for Development of State ABLE Program

Reduction of administrative burden on the state agencies/program

administrators to ensure affordable ABLE programs and low fees.

We need to ensure that state ABLE programs are not required to collect

sensitive personal and medical information about designated

beneficiaries.

Lack of uniformity nationwide. There are currently no common forms or

process. This is a particular area of concern regarding the disability

certification.

Page 23: BASICS OF THE ABLE ACT Pharmacy/DUR/Documents... · ABLE Accounts The ABLE Act is a federal law. (December 19, 2014) The Stephen Beck, Jr. Achieving a Better Life Experience (ABLE)

Special Needs Trust v. ABLE Account

1) Trusts can be setup as:

a) 1st party – beneficiary funds subject to Medicaid Payback provision

b) 3rd Party – 3rd party funds not subject to Medicaid Payback provision.

2) Trusts CANNOT be controlled by beneficiary.

3) SSI and Medicaid rules will apply to funds.

Page 24: BASICS OF THE ABLE ACT Pharmacy/DUR/Documents... · ABLE Accounts The ABLE Act is a federal law. (December 19, 2014) The Stephen Beck, Jr. Achieving a Better Life Experience (ABLE)

Special Needs Trusts and ABLE accounts both provide ways for people

with disabilities to maintain eligibility for means-tested federal benefits

while enjoying certain benefits from additional funds.

ABLE accounts provide the person with the disability with control. They get

some financial independence.

SNT provide no independence as they are managed by a trustee.

Special Needs Trust v. ABLE Account

Page 25: BASICS OF THE ABLE ACT Pharmacy/DUR/Documents... · ABLE Accounts The ABLE Act is a federal law. (December 19, 2014) The Stephen Beck, Jr. Achieving a Better Life Experience (ABLE)

Special Needs Trust v. ABLE Account

ABLE accounts by their design are very easy to setup and maintain.

SNT are very complex and expensive to setup and maintain. You will need professional help most likely.

An ABLE account is easy to transfer from one state to another.

A person needs in-depth knowledge of ever changing regulations in order to manage a SNT.

There a no annual or lifetime limits on the money that can be placed in a SNT. ABLE accounts have strict annual and lifetime caps.

An ABLE account can only hold money (investments) while a SNT can hold personal property and real property (house or land) as well as cash.

Page 26: BASICS OF THE ABLE ACT Pharmacy/DUR/Documents... · ABLE Accounts The ABLE Act is a federal law. (December 19, 2014) The Stephen Beck, Jr. Achieving a Better Life Experience (ABLE)

Resources for this presentation:

Social Security administration

www.ssa.gov

ABLE National Resource Center

www.ablenrc.org

National Disability Institute

http://www.realeconomicimpact.org

Internal Revenue Service (Earned Income Tax Credit)

Contact Volunteer Income Tax Assistance (VITA) at 1-800-906-9887 or visit www.irs.gov/eitc

Page 27: BASICS OF THE ABLE ACT Pharmacy/DUR/Documents... · ABLE Accounts The ABLE Act is a federal law. (December 19, 2014) The Stephen Beck, Jr. Achieving a Better Life Experience (ABLE)

Questions

Jeremiah Underhill, Legal Director

[email protected]

Disability Rights of West Virginia

800.950.5250 (toll free)304.346.0847 (voice/tty) • 304.346.0867 (fax)

1207 Quarrier St Ste 400 • Charleston, WV 25301-1845

drofwv.org